2025 CPT code 64702
Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Neuroplasty of a digital nerve, involving one or both nerves in the same finger or toe.
Modifiers may be applicable. Refer to current CPT guidelines and payer policies for correct modifier usage.
Medical necessity for 64702 must be supported by documentation of the patient's symptoms, physical examination findings, and failed conservative treatments. The documentation should demonstrate that the nerve compression significantly impacts the patient's function and quality of life and that surgical decompression is necessary to alleviate the symptoms.
The surgeon prepares the patient, administers anesthesia, makes an incision, identifies the compressed nerve, performs external neurolysis by dissecting scar tissue and other constricting elements, and closes the incision.
In simple words: This procedure frees up a compressed nerve in your finger or toe.The surgeon makes a small cut to reach the nerve, then carefully removes any surrounding scar tissue or other things pressing on it, relieving the compression and restoring function.
Surgical decompression of one or both digital nerves in the same finger or toe. This procedure involves the surgical release of a nerve from scar tissue or other compressive forces to restore its normal function.It may include external neurolysis and does not involve entering the nerve itself. If internal neurolysis is performed using an operating microscope, use code 64727.
Example 1: A patient presents with numbness and tingling in their index finger due to scar tissue compression of the digital nerve following a laceration. The surgeon performs a digital neuroplasty (64702) to release the nerve., A patient experiences pain and weakness in their thumb due to compression of both digital nerves from a cyst. The surgeon performs a digital neuroplasty (64702) to decompress both nerves within the same digit., A patient has persistent pain and limited mobility in their toe following a fracture where the digital nerve is entrapped.The surgeon performs 64702 to free the nerve.
Documentation should include the diagnosis, the specific digit involved, the operative findings (e.g., location and extent of nerve compression, presence of scar tissue or other compressive structures), the surgical technique used (e.g., external neurolysis), and any intraoperative complications.
- Specialties:Plastic Surgery, Orthopedic Surgery, Hand Surgery, Neurosurgery, Podiatric Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office